Salt, Lisa M

Salt, Lisa M is an individual health care provider with primary practice located at 130 Health Park Blvd , Saint Augustine FL 32086-5776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Salt, Lisa M can be contacted via phone (904) 826-3469.

Contact Information

Primary practice address
130 Health Park Blvd Saint Augustine FL 32086-5776
Phone: (904) 826-3469
Fax: (904) 808-4608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103852 Florida

Profile Details

NPI number 1427105774
LBN Legal business name Salt, Lisa M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427105774 NPPES
Florida Other P00440191 PALMETTO GBA RAILROAD MED

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